How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $54.95 Median $61.66 Typical High $72.44 | Facility | None | $54.95 | $61.66 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $58.88 Typical High $85.11 | Professional | None | $43.65 | $58.88 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $69.18 | Professional | None | $58.88 | $61.66 | $69.18 |
BCBS Arizona Setting Facility Modifier None Typical Low $79.43 Median $354.81 Typical High $537.03 | Facility | None | $79.43 | $354.81 | $537.03 |
BCBS Arizona Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $83.18 | Professional | None | $51.29 | $67.61 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $128.82 | Professional | None | $60.26 | $63.10 | $128.82 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $87.10 Typical High $346.74 | Facility | None | $63.10 | $87.10 | $346.74 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $114.82 | Professional | None | $70.79 | $79.43 | $114.82 |
United Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $114.82 | Professional | None | $69.18 | $79.43 | $114.82 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $29.51 Typical High $33.88 | Professional | 52 · Reduced service | $29.51 | $29.51 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $10.23 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $6.76 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $6.76 |
Where Arizona sits
The same service costs 2.1 times more in Oregon than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 41st of 51
$74.13
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.